Logo image
Back
The relation between lower extremity strength and shoulder overuse symptoms: A model based on polio survivors
Journal article   Peer reviewed

The relation between lower extremity strength and shoulder overuse symptoms: A model based on polio survivors

Mary G. Klein, John Whyte, Mary Ann Keenan, Alberto Esquenazi and Marcia Polansky
Archives of physical medicine and rehabilitation, v 81(6), pp 789-795
Jun 2000
DOI: https://doi.org/10.1016/S0003-9993(00)90113-8
PMID: 10857526
Featured in Collection :   UN Sustainable Development Goals @ Drexel

Abstract

Postpoliomyelitis syndrome Rehabilitation Shoulder Strength
Objective: To determine the relation between lower extremity weakness and shoulder overuse symptoms among polio survivors. We predicted that individuals with moderate weakness in their leg extensor muscles would use their arms to help compensate for this weakness and would be at high risk for developing symptoms of shoulder overuse. Design: A cohort study of polio survivors recruited from the Einstein-Moss Postpolio Management Program (Philadelphia), the community, and the surrounding region. Setting: A research laboratory at Moss Rehabilitation Research Institute, Philadelphia, PA. Participants: One hundred ninety-four polio survivors. Demographic and medical history data, symptom data, and strength data were obtained for each. Main Outcome Measures: Presence or absence of shoulder symptoms and ratings of pain by visual analogue scale were recorded. Strength was measured using a hand-held dynamometer and manual muscle testing. Results: Shoulder symptoms could be grouped into two distinct clusters based on the type of testing used for assessment. Symptoms elicited by palpation were present in 26% of the subjects and were strongly related to knee extensor strength and weight. These symptoms were more common among women than men (42% and 10%, respectively). Symptoms elicited by resistance tests were present in 33% of the subjects and were seen with equal frequency in both sexes. These symptoms were also related to lower extremity strength, but the specific relationship was not as clear as for the palpation-related symptoms. Conclusions: Lower extremity weakness predisposes individuals to shoulder overuse symptoms. Sex and body weight are contributing factors. These results may be generalized to other populations with lower extremity weakness, including the elderly.

Metrics

5 Record Views
19 citations in Web of Science
25 citations in Scopus

Details

UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#1 No Poverty
#10 Reduced Inequalities
#8 Decent Work and Economic Growth

InCites Highlights

Data related to this publication, from InCites Benchmarking & Analytics tool:

Collaboration types
Domestic collaboration
Web of Science research areas
Rehabilitation
Sport Sciences
Logo image